When a doctor opened a plug-in

After returning to the office and just sitting down, Chen Cang heard the system's prompt sound!

Ding!Congratulations, you got the gastroduodenal anastomosis: master class.

After seeing the system prompt, Chen Cang was a little surprised.

Compared with colon surgery, gastro-duodenal surgery is relatively more difficult.

Moreover, the key is technical difficulty and characteristics, the gastroduodenum has more research prospects!

Gastroduodenal anastomosis is a commonly studied operation in digestive surgery, but it has always been a difficult problem that digestive surgery has been researching and overcoming.

Why do you say that?

Compared with heart surgery, which is generally more difficult, there are not many top three hospitals nationwide.

However, gastroduodenal surgery is different. Many county hospitals can now perform subtotal gastrectomy and then perform gastroduodenal anastomosis, but the key lies in this anastomosis.

The success of the anastomosis is directly related to the success rate of the operation and the possibility of complications. For example, an anastomotic leakage is a common surgical complication.

Therefore, duodenal surgery is easy to master, but very difficult to master.

You know, once these complications such as intestinal fistula occur, the trouble is not one or two points.

Without any hesitation, Chen Cang chose to study directly.

Li Yue himself is a general surgeon, and he is quite proficient in gastrointestinal surgery, so Chen Cang is still very satisfied with such a surgical skill!

...

...

Tonight is Chen Cang's night shift. After calling Qin Yue in the duty room, Chen Cang took a break.

At six o'clock in the evening, Chen Cang was about to get up and go to eat. Nurse Yang Jie brought Chen Cang a takeaway, which was very rich.

"Dr. Chen, thank you, my friend's child is much better!" Yang Jie said excitedly, "It's really that Listeria infection. I checked it. It's really scary. If it's really delayed, child But it's dangerous!"

Chen Cang smiled slightly: "You're polite, what should be done, let's just say it, nothing more.

After speaking, before Yang Jie had time to speak, several other nurses rushed in.

"Doctor Chen, recently Sister Yang is so scared that we don't dare to use the refrigerator anymore, so what's the matter with Listeria?"

"Yeah, I almost closed the refrigerator these days. I used to put the refrigerator when I had a lot of milk. Now that I think about it, I feel more guilty!"

"Yes, yes, I also had a lot..."

Chen Cang couldn't help swallowing, not because he was hungry, nor because he was greedy, but simply because he felt that these little nurses were molesting him, although he had no evidence!

Chen Cang missed Lao Ma very much at this moment. Although this man was a little shameless, but...the shock was still quite sufficient, at least he would not be surrounded by nurses like this...

Chen Cang hurriedly changed the subject, otherwise this group of people would only go further and further on the issue of who has more water and who has less water.

"In fact, not only is it related to the refrigerator, Listeria can also survive and multiply in large numbers at room temperature."

"But how to put it, generally speaking, bacteria cannot survive at low temperatures, so this gives Listeria a chance to take advantage of it, leading people to ignore the possibility of bacteria in the refrigerator."

"What do you say about Listeria bacteria? Yes! This killer is not afraid of cold!"

After Chen Cang said it, the little nurse pretended to be humorous and began to laugh.

Chen Cang sneered, it was too fake, just coveting my hue!

"Listeria can multiply at a temperature of 2-42 degrees, and it can multiply regardless of the pH, and it can survive even at low temperatures below zero, so you should still pay attention!"

Hearing what Chen Cang said, to be honest, everyone was a little worried!

"Yes, I have seen Listeria infection patients in the United States during this period. What should I do?"

Chen Cang smiled: "In fact, we are okay in China. It is related to our eating habits. Foreign countries like to eat fruit and vegetable salads, but we basically use cooked food in China. Basically, Listeria monocytogenes will be gone after heating above 70 degrees Celsius in two minutes. Don't worry!"

"Regularly disinfect the refrigerator to reduce the possibility of bacterial growth, and for people with low immunity, try not to eat unpasteurized milk, cheese, sushi, sashimi, etc., and eat fruits as much as possible.

The little nurse saw that Chen Cang explained the problem clearly. There was no reason for the harassment for a while, so she could only go back and think of a solution!

But at this moment, Chen Cang was relieved and was finally able to eat.

The night shift in the emergency department is always disturbing, and there are basically no patients, but you must tell yourself that you must not think about it, because if you think about it, it is possible to come right away.

At ten thirty in the evening, a little girl came to the emergency room.

The little girl is not very old, and her dress is very...sexy. It is March Day in the capital. She also wears a tight-fitting dress with silk stockings, high heels, and a donkey bag in her hand.

"I'm registered." The woman was very calm and couldn't see if she was sick at all.

Xiao Ke nodded and hurriedly called Chen Cang.

Xiao Ke's simple dress seemed like an ugly duckling in front of the woman.

The woman put the Ferrari car key on the nurse's desk as if showing off her wealth, and began to take out her ID card to register with the money.

Chen Cang quickly asked, "Why are you uncomfortable?"

The woman sighed, frowned and said, "My stomach hurts, both sides hurt. I couldn't bend my waist because of the pain. It's better now, but it still hurts."

Chen Cang nodded: "Can you go by yourself?"

The woman nodded.

Chen Cang greeted Xiao Ke to the rescue room and let the woman lie on the bed.

"Have you had any illness before?" Chen Cang asked casually.

"No, all are good."

Chen Cang nodded, asked the woman to position herself, and began to palpate her abdomen. However, it was inconvenient to pass the clothes, but when the dress worn by the woman was pulled up, it was naturally embarrassing.

Fortunately, Xiao Ke was there, but it was fine.

Chen Cang gently touched his abdomen.

"pain!"

"Oh...it hurts!"

Chen Cang frowned immediately, peritoneal irritation was very obvious, and abdominal tenderness was palpated, mainly in the lower abdomen or right lower abdomen, rebound pain, and abdominal muscle tension was obvious.

Have peritonitis?

wrong!

Could it be a gynecological disease?

Thinking of this, Chen Cang said: "If you bear it, it might hurt a little!"

The woman was also calm, nodding and gritting her teeth.

When Chen Cang touched his lower abdomen, he felt that the posterior fornix was full, the cervix had poor mobility, and the appendage touched the inflammatory mass, which was obvious on the right side.

This made him suddenly frowned: "Have you ever been pregnant? Have you had a miscarriage?"

The woman was a little displeased when she heard that, but she still said: "I have been pregnant for 5 times and all have miscarriages."

When this sentence was said, the woman was very calm, just like saying that I ate five steamed buns at noon, without the slightest pride and mood swings.